Ms. Pamela K Jackson
Driver in Union, New Jersey
1013482439- Practice location
- 1496 Village RD Apt A, Union, NJ 07083-4461
- Phone
- 201-284-2307
- Fax
- —
- Last updated
- January 9, 2024
Pamela Kenna Jackson is a Driver based in Union, NJ. Pamela Kenna Jackson practices in Union, NJ. The NPI Number for Pamela Kenna Jackson is 1013482439 and holds a License No. J00626147258862 (NJ). The current practice location address for Pamela Kenna Jackson is 1496 Village RD Apt A, Union, NJ 07083-4461 and can be reached out via phone at 201-284-2307.
Provider Profile Details
- NPI Number
- 1013482439
- Provider Name
- Pamela Kenna Jackson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1496 Village RD Apt A, Union, NJ 07083-4461
- Phone Number
- 201-284-2307
- Primary Taxonomy
- Driver · 172A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 12, 2018
- Last Update Date
- January 9, 2024
- Certification Date
- January 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1496 Village RD Apt A
Union, NJ 07083-4461 - City
- Union
- State
- New Jersey
- Zip
- 07083-4461
- Phone Number
- 201-284-2307
Provider Business Mailing Address Details
- Address
- 1496 Village RD Apt A
Union, NJ 07083-4461 - City
- Union
- State
- NJ
- Zip
- 07083-4461
- Phone Number
- 201-284-2307
License Information
- License Number
- J00626147258862
- License State
- NJ
- Taxonomy
- Driver · 172A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Pamela K Jackson?
The NPI number of Ms. Pamela K Jackson is 1013482439. It was assigned on October 12, 2018 and is currently active in the NPPES registry.
What is the specialty of Ms. Pamela K Jackson?
Ms. Pamela K Jackson is registered under the primary taxonomy Driver (code 172A00000X), licensed in NJ under license number J00626147258862.
Where does Ms. Pamela K Jackson practice?
The practice location is 1496 Village RD Apt A, Union, NJ 07083-4461. The office can be reached at 201-284-2307 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013482439 directly on the NPPES registry website.